Introduction to Maternal Child Health Nursing

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What *is* Maternity Nursing? - Caring for women and infants during the childbearing cycle What are the components of women's health nursing? - Meeting physical, psychologic, and social needs of women throughout the lifespan How did maternity nursing start? - With Lay immigrant midwives and "granny midwives" in the South What is the term of using hard sedatives for maternity nursing? - twilight sleep How did people in the 1700s do midwife stuff - with like distraction Who started the Children's Bureau and what did she do - Lillian Wald, discovered when you keep things clean and seek help, they have better birth outcomes Who stared "pain free birthing" - Queen Victoria What is the number one reason people have issue with getting maternity care? - Financial What is Healthy People 2020's main goal? - Attaining high-quality, longer lives free of preventable disease, disability, injury and premature death Achieving health equity, eliminating disparities, and improving the health of all groups Creating social and physical environments that promote good health for all Promoting quality of life, healthy development, and healthy behaviors across all life stages What is the 6th millennium development goal target? - Reduce by three-quarters, between 1990 and 2015, the maternal mortality ratio What are the indicators for maternal millennium development goals being met – 16. Maternal mortality ratio (UNICEF-WHO) 17. Proportion of births attended by skilled health personnel (UNICEF-WHO) What are the issues that can cause limited access to care? - Financial, Cultural, and Gender issues What do hospitals try to perform to help financial issues? - Cost containment What are ways to help the financial issues of maternity care? - Prospective payment What is prospective payment - A fixed payment What does prospective payment promote? - Efficiency What is a major effect for maternity care? - length of stay What is the major effect on maternity nursing? - discharge teaching What are the health risks for childbearing women? - Socioeconomic Status/Factors Nutrition Substance use/abuse Social, cultural, and genetic Caring for women in maternity care exists across a woman's _____ - Lifespan What does Maternity Care Health Indicators reflect? - Quality/access to healthcare Overall maternal health Public health practices Socioeconomic conditions What is infant mortality - death of a live birth between birth and the first birthday What is neonatal mortality - death of a live birth between birth and < 28 days What is maternal mortality - maternal deaths from live births, complications of pregnancy, or postpartum What is perinatal mortality - includes stillbirths What is stillbirth - an infant @ birth who demonstrates no signs of life such as breathing, heartbeat or muscle movements What was the US maternal mortality rate in 2014 - 23.8/100,000 live births Who has a higher maternal mortality rate, black or whites - blacks

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